Individual
BRIAN L HOHERTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4301 W MARKHAM ST # 783, LITTLE ROCK, AR 72205-7101
(501) 686-8000
(501) 686-8586
Mailing address
4301 W MARKHAM ST # 783, LITTLE ROCK, AR 72205-7101
(501) 686-8000
(501) 686-8586
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
E-5511
AR
207P00000X
Emergency Medicine Physician
N0101
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
179181001
—
AR
05
—
196497501
—
TX
01
—
8BN490
BCBS
TX
01
—
P00645632
MEDICARE RAILROAD
TX
Enumeration date
04/04/2007
Last updated
11/12/2009
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